Based on your pretesting results and your age, your doctor will select the protocol that he/she feels will yield the best results.
This sample IVF protocol is for ovarian stimulation using Lupron without birth control pills.
- This in vitro fertilization stimulation protocol is often referred to as Lupron down regulation, or “luteal Lupron” or “long Lupron”.
- For many fertility doctors and patients, this is the standard IVF protocol
- This schedule shows the main steps and timing of IVF drugs, approximate timing of ovarian stimulation monitoring, and procedures. This example is for a 28 day menstrual cycle. Birth control pills are not being used to control the menstrual cycle in this example.
For cycles using a birth control pill (BCP or OCP), patients are usually given 12-21 days of pills overlapping Lupron with the last 3 pills. A period starts a few days after the last pill. Ovarian stimulation shots start soon thereafter.
Day 1- Menstrual cycle day 21, Begin Lupron
Days 2-7 Continue Lupron
Day 8 – AF starts
Day 9 – Continue Lupron Start FSH injections – Bloodwork and Ultrasound appointment to confirm suppression and check Antral Follicle Count(AFC)
Day 10 – 11 – Lupron and FSH injections
Day 12- Lupron and FSH Injections – Bloodwork and Ultrasound appointment to check ovarian porgress
Day 13-17 – Lupron and FSH Injections continue – Bloodwork and Ultrasound checks will vary by clinic and progress
Day 18(Day 10 of Stims) – Last Bloodwork and Ultrasound check – HCG Injection(Trigger shot)
Day 19 – Rest
Day 20- Egg Retrieval(ER)
Day 21(Day 1)- Start Projesterone and possibly Estrace depending on protocol
Day 22 – Continue with Projesterone and Estrace, possible Medrol(steroid to reduce inflammation)
Day 23 – Biopsy Day (Cell prepared for PGD) Continue with Projesterone and Estrace, possible Medrol(steroid to reduce inflammation)
Days 24 – Continue with Projesterone and Estrace, possible Medrol(steroid to reduce inflammation)
Day 25 – Transfer Day – Continue with Projesterone and Estrace, possible Medrol(steroid to reduce inflammation)
Day 35 – Blood Test to confirm pregnancy(10dp5dt)